Guillain-Barré syndrome after vaccination in an infant

Authors

DOI:

https://doi.org/10.21615/cesmedicina.34.2.8

Keywords:

Guillain-Barre Syndrome, Influenza Vaccines, Infant, Paresis, Autoinmmunity, Pediatrics

Abstract

Guillain-Barré syndrome is potentially fatal autoimmune disorder that presents as rapidly progressive flaccid paralytic polyneuropathy. Diagnosis is based on clinical findings and supported by electromyography. In most cases, it is preceded by a respiratory or gastrointestinal infection, but exceptional cases in which it appears after vaccination have been reported. This article aims to present the case of a young infant diagnosed with Guillain-Barré syndrome after influenza vaccination. It is important for the clinician to consider this association when defining differential diagnoses
when dealing with similar cases, stating that the benefits of vaccination clearly outweight its risks.

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References

Willison HJ, Jacobs BC, Van Doorn PA. Guillain-Barré Syndrome. Lancet. 2016 Aug 13;388(10045):717-27. doi: 10.1016/s0140-6736(16)00339-1.

Ryan MM. Pediatric Guillain-Barré syndrome. Curr Opin Pediatr. 2013;25:689-93. doi: 10.1097/MOP.0b013e328365ad3f.

Karalok, ZS, Taskin BD, Yanginlar ZB, Gurkas E, Guven A, Degerliyurt A, Kose, G. Guillain-Barré syndrome in children: subtypes and outcome. Child's Nervous System. 2014;34(11):2291-2297. doi: 10.1007/s00381-018-3856-0.

Devos D, Magot A, Perrier-Boeswillwald J, Fayet G, Leclair- Visonneau L, Ollivier Y et al. Guillain-Barré syndrome during childhood: particular clinical and electrophysiological features. Muscle Nerve. 2013;48:247-51. doi: 10.1002/mus.23749.

Top KA, Desai S, Moore D, Law BJ, Vaudry W, Halperin SA, et al. Guillain-Barré syndrome after immunization in Canadian children (1996-2012). Pediatr Infect Dis J. 2015;34:1411-3. doi: 10.1097/INF.0000000000000903.

Schessl J, Luther B, Kirschener J, Mauff G, Korinthenberg R. Infections and vaccinations preceding childhood Guillain–Barré symptom complex: a prospective study. Eur J Pediatr. 2006;165:605–12.

Morgan L. The child with acute weakness. Clin Pediatr Emerg Med. 2015;16:19-28. Doi: 10.1016/j.cpem.2015.02.004.

Yuki N, Hartung HP. Guillain-Barré syndrome. N Engl J Med 2012;366(24):2294-304. doi: 10.1056/NEJMra1114525.

Sejvar JJ, Baughman AL, Wise M, Morgan OW. Population incidence of Guillain-Barré syndrome: a systematic review and meta-analysis. Neuroepidemiology. 2011;36(2):123-133. doi:10.1159/000324710.

Esposito S, Longo MR. Guillain-Barré syndrome. Autoimmun Rev. 2017 Jan;16(1):96-101. doi: 10.1016/j.autrev.2016.09.022.

Principi N, Esposito S. Vaccine-preventable diseases, vaccines and Guillain-Barre’s Syndrome. Vaccine. 2019 Sep 3;37(37):5544-5550. doi: 10.1016/j.vaccine.2018.05.119.

Sanz Fadrique R, Martín Arias L, Molina-Guarneros JA, Jimeno Bulnes N, García Ortega P. Guillain-Barré syndrome and influenza vaccines: current evidence. Rev Esp Quimioter. 2019;32(4):288‐295.

Haber P, Moro PL, Cano M, Vellozzi C, Lewis P, Woo EJ et al. Post-Licensure surveillance of trivalent live-attenuated influenza vaccine in children aged 2-18 years, Vaccine Adverse Event Reporting System, United States, July 2005-June 2012. J Pediatric Infect Dis Soc. 2015;4(3):205‐213. doi:10.1093/jpids/piu034

Kwong JC, Vasa PP, Campitelli MA, Hawken S, Wilson K, Rosella LC, et al. Risk of Guillain-Barré syndrome after seasonal influenza vaccination and influenza health-care encounters: a self-controlled study. Lancet Infect Dis 2013;13:769–76. doi: 10.1016/S1473-3099(13)70104-X.

Uurlink DN, Stukel TA, Kwong J, Kopp A, McGeer A, Upshur RE, et al. Guillain- Barre syndrome after influenza vaccination in adults—a population-based study. Arch Int Med 2006;166:2217–21.

Lee SJ, Kim YO, Woo YJ, Kim MK, Nam TS, Cho YK, et al. Neurologic adverse events following influenza A (H1N1) vaccinations in children. Pediatrics International. 2012;54(3):325-330. doi: 10.1111/j.1442-200X.2012.03568.x.

Tremblay ME., Closon A, D'Anjou G, Bussières JF. Guillain-Barré syndrome following H1N1 immunization in a pediatric patient. Annals of Pharmacotherapy 2010; 44(7-8), 1330-1333. doi: 10.1345/aph.1P078

Hu MH, Chen CM, Lin KL, Wang HS, Hsia SH, Chou ML, et al. Risk Factors of respiratory failure in children with Guilliain-Barré Syndrome. Pediatrics & Neonatology. 2012;53(5):295-299. doi: https://doi.org/10.1016/j.pedneo.2012.07.003.

Kalita J, Kumar M, Misra UK. Role of IV immunoglobulin in indian children with Guillain Barré Syndrome. Pediatric Critical Care Medicine. 2019;20(7):652-659. doi: 10.1097/PCC.0000000000001935.

Woman at her toilette, Berthe Morisot

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Published

2020-10-22

How to Cite

Cepeda-Bareño, D. F., & Delgado-Serrano, J. (2020). Guillain-Barré syndrome after vaccination in an infant. CES Medicina, 34(2), 162–168. https://doi.org/10.21615/cesmedicina.34.2.8

Issue

Vol. 34 No. 2 (2020): CES Medicina

Section

Reporte de caso

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